New PDF release: Overview of Cardiac Surgery for the Cardiologist

By Jonathan B. Mark (auth.), Richard T. Lee M.D., Thomas H. Lee M.D., Pamela S. Peigh M.D. (eds.)

ISBN-10: 1461242924

ISBN-13: 9781461242925

ISBN-10: 146128726X

ISBN-13: 9781461287261

The motivation for this ebook was once the popularity via folks (RL and TL) that, regardless of our education as cardiologists, we had a constrained comprehend­ ing of many elements of the surgical administration of our sufferers. Conversa­ tions with different cardiologists at our personal establishment and at different clinical facilities round the kingdom confident us that lots of our colleagues shared our uncertainty concerning the info of surgeries and the criteria that confirm judgements within the perioperative interval. As surgical recommendations proceed to conform, this data hole can turn into in basic terms extra serious. We accordingly compiled information regarding cardiac surgical procedure that will be valuable for cardiologists and different nonsurgeons. We requested cardiologists what questions they want to invite their surgical colleagues and supplied those inquiries to the authors of the chapters. therefore, the target of those chapters is to assist nonsurgeons resolution their very own questions about universal cardiac techniques, and to aid arrange those physicians to deal with the questions raised via their sufferers. additionally, we are hoping that perception into those matters will enhance verbal exchange among surgeons and their col­ leagues-and, eventually, result in higher sufferer care. Contents Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii individuals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi 1 bankruptcy 1. Anesthesia for Cardiac surgical procedure JONATHAN B. MARK bankruptcy 2. Cardiopulmonary pass . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 DANIEL FITZGERALD bankruptcy three. Myocardial defense in Cardiac surgical procedure . . . . . . . . . . . . . . . . . . 23 JEFFREY promote bankruptcy four. Coronary Artery pass Grafting . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 HENDRICK B. BARNER bankruptcy five. surgical procedure for Left Ventricular Outflow Obstruction: Aortic Valve alternative and Myomectomy . . . . . . . . . . . . . .

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Sample text

This catheter drains the pulmonary venous return, thus allowing the operative field (aortic annulus and left ventricular outflow tract) to remain clear of blood, affording optimal visualization. 3. 5 cm above the aortic annulus on a diagonal, oriented toward the base of the noncoronary sinus (Fig. IA). Retraction stitches are placed on either side of the aortotomy to allow optimal visualization of the valve. Next, attention is directed to examining the valve with regard to its morphology (bicuspid or trileaflet), the degree of stenosis and insufficiency, and the amount of calcification.

Philadelphia: WB Saunders; 1990;1566-1596. 2. Kirklin JW, Barratt-Boyes BG. Acquired valvular heart disease: aortic valve disease. In: Cardiac Surgery. New York: John A. Wiley & Sons; 1986;373-429. 3. Ross D. Technique of aortic valve replacement with a homograft: orthotopic replacement. Ann Thorac Surg. 1991;52:154-156. 4. Morrow AG, Reitz BA, Epstein SE, et al. Operative treatment in hypertrophic subaortic stenosis: Techniques and results of pre- and post-operative assessment in 83 patients. Circulation.

Competency can be assessed when both the anterior and posterior leaflet are at or near the annular level when the left ventricle is expanded with a large volume of fluid. This LV volume infusion should be done at every step of the repair to continually assess competency. 6. Mitral Valve Surgery 49 The use of annuloplasty rings is another important part of mitral valve repair for patients with mitral regurgitation due to myxomatous degeneration, particularly when shortening chordae and leaflet resections are carried out.

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Overview of Cardiac Surgery for the Cardiologist by Jonathan B. Mark (auth.), Richard T. Lee M.D., Thomas H. Lee M.D., Pamela S. Peigh M.D. (eds.)


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